Individual
DR. PHILIP S PIASECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 NORMANDIE DR, 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00024981
AL
2085R0202X
Diagnostic Radiology Physician
057234
GA
2085R0202X
Diagnostic Radiology Physician
ME83627
FL
2085R0204X
Vascular & Interventional Radiology Physician
24981
AL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD 24981
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106977
—
AL
05
—
106979
—
AL
05
—
108113
—
AL
05
—
108382
—
AL
Enumeration date
02/06/2006
Last updated
10/14/2016
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